Tuberculose na população feminina brasileira privada de liberdade

Abstract

An estimated 10 million people fell ill with tuberculosis (TB) and that the disease caused 1.3 million deaths worldwide in 2017, among the top 10 causes of death on the planet. In Brazil, in 2018, 72,788 new cases of TB were diagnosed, which corresponds to an incidence coefficient of 34.8 cases/100,000 inhabitants. 714,000 women are held in criminal institutions. This reflects the increase in the levels of the female prison population compared to the levels of the prison population since 2000, with the number of women in prison increasing by more than 50%. According to INFOPEN women of 2016, the Brazilian female prison population reached the mark of 42,000 women deprived of liberty and an increase of 656% compared to the total recorded in 2000. Brazil is ranked fourth in the Ranking of nations with the largest female prison population in the world. This article aims to analyze epidemiological characteristics of the tuberculosis scenario in Brazilian female prisons. This is a descriptive analytical study with secondary data of women aged 18 years or older age reported with tuberculosis in the Notification Diseases Information System (SINAN) between 2013 and 2015. It was observed that 32% (95%CI: 29.5 - 34.5) of the prison population is in the age group under 30 years, its highest proportion is black 16.2% (95%CI: 14.2 - 18.3), low level of education 32.7% (95% CI: 29.8 - 35.7), higher proportion of treatment abandonment 9.4% (95%CI: 8.0 - 11.1), the most common form is pulmonary 86.9% (95%CI: 85.0 - 88.6), directly observed treatment (DOT) is more frequent in prey, 58.5% (95% CI: 55.6 - 61.3), higher prevalence of AIDS 7.2% (95%CI: 15.2 - 19.6). Women arrested as opposed to what was thought, when it comes to primary care care, within the prison, are better assisted. With regard to the most complex assistance services, which need to leave in the prison unit, inmates have more difficulties in relation to women not arrested.